Anthem Medicaid — List of items and services that require Prior Authorization (Virginia)
A catalog of Medicaid procedure codes and descriptions for Virginia (VA) that require prior authorization; applicable to Anthem Medicaid members/providers in VA. This portion of the document lists CPT/HCPCS/scoped procedure codes and their descriptions.
No material clinical or coverage changes in this revision.
Prior Authorization Coverage Criteria (VA Medicaid)
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.